| Regimental number | 36617 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs M Henderson, 1 Asylum Terrace, Armagh, Ireland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 21 |